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Nationwide rates for HCPCS 21077

Impression & Preparation Orbital Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.81 / $2,195.42 / $3,380.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.68 / $2,155.63 / $3,395.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,464.00 / $7,363.00 / $13,012.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.46 / $2,485.35 / $3,892.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.58 / $1,453.83 / $2,725.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.04 / $3,093.06 / $4,643.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $6,231.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.73 / $2,837.22 / $4,914.38